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August 4, 2015

BCBSKS Air Ambulance Editing

Blue Cross and Blue Shield of Kansas (BCBSKS), payer ID 47163 Air Ambulance editing was implemented July 19, 2015.

Purpose:  Blue Cross and Blue Shield Association (BCBSA) claim filing guideline.  Claims for air ambulance services must be filed to the Blue Plan in whose service area the point of pickup zip code is located. 

Edit Code

Edit Logic

A8:763 / A8:454

Does 2400 SV101-2 = A0430, A0431, A0435 or A0436
If yes, is the 2310E N403 ambulance point of pick up zip code present?
If no reject: A8:763

Helpful Hint: Ambulance Point of Pickup Zip Code is required.

If yes, is the 2310E N403 a valid zip code for the BCBSKS service area, excluding Johnson and Wyandotte Counties?
If no, reject A8:763 / A8:454

Helpful Hint: Ambulance Point of Pickup Zip code must be for BCBSKS service area, excluding Johnson and Wyandotte Counties.   
 

A8:751

If yes, is the 2310E N402 equal to KS?
If no, reject A8:751

Helpful Hint: State code for Ambulance Point of Pickup must be within KS.  

 

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